I kēia mau lā, ua hoʻopau ʻo Liu Hucheng, ka luna o ka 'Oihana o Bone and Soft Tissue Oncology ma ka Halemai Hoʻohui Mua o Nanchang University, i ka "pelvic tumor resection + sacral osteotomy + pelvic replacement + hip replacement + lumbar pedicle screw internal fixation" me LDK customized pelvic prosthesis , a ua holo mālie ka hana.
Hoʻouna ʻia ka mea maʻi i kahi haukapila o waho no ka ʻeha mau a me ka ʻeha.Ma hope o ka hoʻopau ʻana i nā hoʻokolohua pili i ka ʻūhā, ua ʻōlelo ʻia ka mea maʻi i kahi maʻi osteo-malignant, akā ʻaʻole ʻo ia i hoʻolohe iā ia, a laila ua ʻoi aʻe kona mau hōʻailona ʻeha a ua kaupalena ʻia kona neʻe ʻana.A laila hele mai ka mea maʻi i ke Keʻena ʻo Bone and Soft Tissue Oncology o ka Halemai Hoʻohui Mua o Nanchang University no ka mālama ʻana.
Ma hope o ke komo ʻana i ka haukapila a hoʻopau i ka biopsy iwi pelvic, ua ʻike ʻia ka mea maʻi me ka osteosarcoma.Ma hope o ka hoʻolālā ʻia ʻana o kahi hoʻolālā ʻoki kino e nā keʻena he nui a ua hoʻopau ʻia ka hoʻomākaukau mua ʻana, ua hana ʻo Luna Hoʻokele ʻo Liu Hu Cheng i ka "pelvic tumor resection + sacral osteotomy + pelvic replacement + hip replacement + lumbar arch screw internal fixation" no ka mea maʻi.
wehewehe:
Ma'i, wahine, 52 makahiki
Hoʻopiʻi:
ʻOi aku ma mua o 3 mau mahina ma hope o ka chemotherapy no ka osteosarcoma iwi pelvic
ʻO ka mōʻaukala olakino i kēia manawa:
Ua hoʻopiʻi ka mea maʻi ma 2022-10, ʻaʻohe kumu maopopo no ka ʻeha haʻahaʻa haʻahaʻa a me ka ʻeha, me ka ʻeha a me ka pehu, me ka ʻeha ma ka ʻaoʻao hema hema, aia ma ka ʻūhā hema, ka ʻaoʻao hema, ka ʻaoʻao hope. o ka uha, ka aoao hope o ka bipi keiki a hiki i ka wawae hema, ka pehu malalo o ka wawae hema, mahuahua ka eha mahope o ka loihi o ke ku ana a me ka hele ana, a hiki ke hoomaha ia manawa, aole nana i malama ia, alaila. ua hoʻomaka ka nui o nā hōʻailona ʻeha a hiki ʻole ke hele.
Manaʻo ka MRI: 1) hōʻailona ʻino o ka iwi iliac hema, me ka noʻonoʻo ʻana i ka hiki ke loaʻa ka maʻi ʻino;2) he wahi wai liʻiliʻi ma ka ʻūhā hema hema.ʻAʻohe lāʻau lapaʻau kūikawā, a i kēia manawa ua hoʻokomo ʻia ka mea maʻi i ka haukapila no ka mālama hou ʻana.
Hoʻomaʻamaʻa kino:
"Post-chemotherapy myelosuppression" komo
ʻO ke kaʻina hana i manaʻo ʻia ʻo "ka ʻoki ʻana i ka tumo pelvic + osteotomy sacral + pani pani pelvic + pani pani + hoʻopaʻa i loko me ka lumbar pedicle screw"
Hoʻouna ʻia nā hiʻohiʻona no ka nānā ʻana：
Ua hoʻouna ʻia ka ʻiʻo pelvic hema no ka nānā ʻana: ka iwi iwi ʻole, ka nui 19.5X17X9 cm, me ka ʻiʻo ʻiʻo i hoʻopili ʻia, ka nui 16.5X16X3.5 cm, ka ʻoki ʻana i nā ʻāpana he nui, 1.5 knm mai ka palena cautery, ua ʻike ʻia kahi nui i loko o ka ʻiʻo ʻiʻo. , ka nui 8X6.5X4.5 knm, hina hina-ula'ula, pa'akikī, a me ka wehewehe pono ole ma waena o ka wahi kiko a me ka iwi iwi.
ʻO ka maʻi ʻaʻalolo sciatic hema: ʻiʻo hina-ʻulaʻula ʻaʻole i hoʻohālikelike ʻia, ka nui 9.5X3X3m, hina-keʻokeʻo hina-ʻulaʻula paʻakikī ma ka ʻili i ʻoki ʻia.
ʻO ka microscopically, ua hōʻike ʻia ka puʻupuʻu i kahi lamellar paʻa, e hoʻouka ana i ka fibrofat peripheral, ka ʻiʻo transverse a me ka ʻiʻo aʻalolo, me ke ʻano o nā ʻāpana irregularly, ʻike nucleoli, maʻalahi ke ʻike i ka schizophrenia nuklea, nā heterotypes a me ka nui o ka necrosis.
ʻO ka hōʻike ʻana o ka pathologic:
(Left pelvis) Hoʻohui pū ʻia me ke kauka, kiʻi a me ka mōʻaukala, ua kūlike me ka pane ma hope o ka chemotherapy no ka osteosarcoma kiʻekiʻe (ʻano maʻamau).
Ka helu ʻana o nā Huvos: papa II (ʻoi aku ka maikaʻi o ka lāʻau lapaʻau, >50% ka necrosis ʻiʻo tumo, ka ʻiʻo maʻi e ola ana).
ʻAʻole i ʻike ʻia ke komo ʻana o ka lesion.
(ke aʻalolo sciatic hema) ʻike ʻia ke komo ʻana o ka ʻeha: 2 ʻē aʻe lymph nodes i ʻike ʻia, ʻaʻohe metastasis i ʻike ʻia (0/2) Hōʻike ʻo Immunohistochemistry: CK(-)；Vimentin(3+)；Ki-67(75%+)；SATB2(+) ；IMP3(+)；MDM2(+)；P16(+)；S-100(scattered +)；H3.3G34W(-)；Brachyury(-)；Desmin(-)；CD68(-).
Hoʻolālā ʻokoʻa:
ʻO ka ʻoki ʻana i ka ʻōpū o ka ʻōpū + osteotomy sacral + pani pani pelvic + pani pani ʻāʻī + wili lumbar pedicle hoʻopaʻa i loko.
Preoperative
Postoperative
Hoʻolauna Kauka
Prof. Hucheng Liu
ʻO ka Halemai Hoʻohui Mua o Nanchang University Orthopedic Hospital
Luna Nui, Keʻena o ka Iwi a me ka Māmā Oncology
Kauka poʻokela, Polopeka Hokua, luna hoʻomalu
Luna Hoʻokele o Bone and Soft Tissue Tumor Group, Orthopedic Branch, Jiangxi Medical Association
Hope Lunahoomalu o Bone and Soft Tissue Tumor Committee o Jiangxi Physicians Association Orthopedic Branch
Ka manawa hoʻouna: Apr-26-2023